slikstoornissen Dysphagia swallowing disorders
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: • Age >= 18 years • Informed consent • Extubated after endotracheal intubation for more than 5 days (> 5 days) • Between RASS -2 and +2 • Able to sit right up • No respiratory insufficiency/failure (for this study defined as a SpO2 < 92% with a minimum of 3 L nasal oxygen). Inclusion criteria of the group of healthy persons: • Age >= 18 years • Informed consent
Exclusion criteria
Exclusion criteria: • Pre-existing dysphagia • Tracheostomy or previous tracheostomy • History of prior intubation < 3 months ago • Head/neck surgery, head/neck radiation or head/neck disease • Pre-existent esophageal disorder • Coagulopathy (thrombocytes < 50*10^9 /l, or PT/APTT > 1.5 times the reference value, or fibrinogen < 1000 mg/l, or use of therapeutic anticoagulation drugs) • Allergy for xylometazoline (only if indicated) • Allergy for methylene blue • Known pregnancy • Known G6PD deficiency
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The main study parameter is the underlying pathophysiology of PED, which will be described qualitatively. Goal is to classify patients into pathophysiological categories. | — |
Secondary
| Measure | Time frame |
|---|---|
| The secondary outcome parameters are the feasibility of the combination of techniques and possible interactions. | — |
Countries
Netherlands